Pediatric Disorders NCLEX

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Pediatric Disorders NCLEX Questions And Answers 2023 A+ Review Update The parents of a pediatric client who has sickle cell anemia ask about the cause of the disorder. Which response by the nurs... e would best describe the cause? A. "It is caused by a recessive trait the primarily affects African-Americans." B. "It is a rare, malignant disorder of the lymphatic system." C. "It is an inherited disorder caused by the abnormal hemoglobin synthesis." D. "It is caused by an increased demand for iron in the blood stream." - ANS-A. "It is caused by a recessive trait the primarily affects African-Americans." When reviewing the management of sickle cell anemia with a parent, the nurse understands further teaching would be needed if the parent said that which of the following circumstances contributed to a crisis? A. Excessive vomiting B. Fever C. Foods that are low in iron D. Emotional stress - ANS-C. Foods that are low in iron The nurse is caring for a child whose parents are both African Americans. The child exhibits swelling of their hands and feet, fever, and signs of blocked capillaries. What is the likely cause? A. Hodgkin's disease B. Diabetic ketoacidosis C. Hyperthyroidism D. Sickle cell anemia - ANS-D. Sickle cell anemia A community health nurse is conducting an educational session with community members regarding tuberculosis. The nurse tells the group that one of the first symptoms associated with tuberculosis is: a. Dyspnea b. Chest pain c. A bloody, productive cough d. A cough with the expectoration of mucoid sputum - ANS-d. A cough with the expectoration of mucoid sputum A nurse performs an admission assessment on a female client with a diagnosis of tuberculosis. The nurse reviews the results of which diagnostic test that will confirm this diagnosis? a. Bronchoscopy b. Sputum culture c. Chest x-ray d. Tuberculin skin test - ANS-b. Sputum culture The parent of a child with TB asks a nurse to explain how the TB is transmitted to others. What is the most appropriate response by the nurse: a. Hand and mouth b. The airborne route c. The fecal-oral route d. Blood and body fluids - ANS-b. The airborne route A 2 year old child is diagnosed with bronchiolitis caused by respiratory syncytial virus (RSV). The child's family also includes an 8 year old child. Which statement is correct? A. RSV isn't highly communicable in infants. B. RSV isn't communicable to older children and adults. C. The 2 year old client must be admitted to the hospital for isolation. D. The children should be separated to prevent the spread of infection. - ANS-D. The children should be separated to prevent the spread of infection. A nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by respiratory syncytial virus (RSV). Which interventions would the nurse include in the plan of care? Select all that apply. 1. Place the infant in a private room. 2. Ensure that the infant's head is in a flexed position. 3. Wear a mask at all times when in contact with the infant. 4. Place the infant in a tent that delivers warm humidified air. 5. Position the infant side-lying, with the head lower than the chest. 6. Ensure that nurses caring for the infant with RSV do not care for other high-risk children. - ANS-1,6 A nurse is caring for a child who has bronchiolitis. Which of the following are appropriate actions for the nurse to take? (Select all that apply). A. Administer oral prednisone B. Initiate chest percussion and postural drainage. C. Administer humidified oxygen D. Suction the nasopharynx as needed E. Administer oral penicillin - ANS-C-humidified oxygen provides moisture to the airway and is an appropriate action for the nurse to take D-Suctioning that nasopharynx will assist the client to clear secretions and is an appropriate action for the nurse to take. The nurse should include which of the following facts when teaching parents about handling a child with recurrent urinary tract infections? a. Antibiotics should be discontinued 48 hours after symptoms subside. b. Recurrent symptoms should be treated by renewing the antibiotics prescription. CONTINUES... [Show More]

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